Name:
Gender:
Date of Birth:
Current Address:
Permanent Address:
Phone:
Email:
If you are a
student, school:
Major:
GPA:
How did you learn of World Camp?
EMERGENCY
CONTACT INFORMATION:
Your Name as it
appears on your passport:
Passport Number
(if available)
Persons to contact
in an emergency:
Name / Number
1.
2.
3.
4.
Health/Travel
insurance name, policy number, and emergency contact number:
Blood Type (if
known):
Please list
medical conditions we need to know about, such as allergies.
List medications you are currently taking
Do you have any
medical conditions requiring special attention:
yes
no
All information on this form will be kept confidential unless
needed by a medical professional
Program
Preference:
Please select program preference Malawi - January Session 1 (approx 1 Jan - 30 Jan)
Malawi - January Session 2 (approx 1 Jan - 6 Feb)
Malawi - Summer Session 1 (approx 25 May - 30 June)
Malawi - Summer Session 2 (approx 30 June - 31 July)
Malawi - High School Program (approx 4 July - 2 Aug)
Malawi - Summer High School Session (approx 4 Jul - 2 Aug)
Honduras - Summer Session (approx 30 June - 31 July)
India - Summer Session (approx 30 June - 2 Aug)
Second Choice:
Please select program preference Malawi - January Session 1 (approx 1 Jan - 30 Jan)
Malawi - January Session 2 (approx 1 Jan - 6 Feb)
Malawi - Summer Session 1 (approx 25 May - 30 June)
Malawi - Summer Session 2 (approx 30 June - 31 July)
Malawi - High School Program (approx 4 July - 2 Aug)
Honduras - Summer Session (approx 30 June - 31 July)
India - Summer Session (approx 30 June - 31 July)
1. Please describe relevant work
or volunteer experience:
2. Based on what
you know about World Camp, what are the greatest aspects you can
bring to our team: (ex: web design, teaching, fundraising
experience, etc.)
3.Please list
all languages
that you speak fluently:
4. How do you
think you will benefit from being on the World Camp Team:
5. Please explain
why you are willing to make such a commitment:
6. Briefly outline
other activities in which you are currently involved:
7. Personal
statement: describe your self, interests and goals:
8. T-shirt size: volunteer uniform during
program, standard adult cotton t-shirt:
Small Medium Large X-Large
PLEASE NOTE THE FOLLOWING: Volunteering for World Camp
is a time consuming commitment. We expect all of our
volunteers to be committed to giving their best; it is not easy,
but it is lots of fun and it is well worth it; we promise. This
application does not bind you to anything, but please apply only
if serious. If you are under the age of 18, permission of
guardian is necessary.